At Wrexham Maelor Hospital

DONATION FORM.

 Please complete if you would like to make a donation to the Wrexham Hospital

League of Friends.

I wish to help the Wrexham Hospital League of Friends

Name: Mr/Mrs/Miss/Ms.........................................................

Address.....................................................................................................

......................................................................................................................................................................................

Postcode.......................

 I enclose the following amount towards the work of the Wrexham Hospital League

of Friends 

  £         :                Gift aid please tick  *             Date

Please make your cheque payable to Wrexham Hospital League of Friends and send to 

 Mr Trevor Jones  35 Maxwell Drive Leeswood Mold CH7 4SR
 

Thank you for your support